Suzanne Marie Potente in Burlington - Clinical
Suzanne Marie Potente - NPI 1235312869
Suzanne Marie Potente is a Clinical in Burlington, Vermont. Suzanne Marie Potente practices all healthcare services and medical treatments related to Clinical. The NPI Number for Suzanne Marie Potente is 1235312869. The last update date is 2007-12-06.
Suzanne Marie Potente's current location address is 617 Riverside Ave, Burlington, Vermont. You can contact this provider via phone number 8028646309 and fax number 8028604324. The mailing address for Suzanne Marie Potente is 617 Riverside Ave, Burlington, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Suzanne Marie Potente |
|---|---|
| Address | 617 Riverside Ave, Burlington, Vermont |
| Phone Number | 8028646309 |
| Fax Number | 8028604324 |
| Sole Proprietor | N |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1235312869 |
|---|---|
| Provider Enumeration Date | 2007-12-05 |
| Last Updated Date | 2007-12-06 |
Provider Mailing Address Detail
| Address | 617 Riverside Ave |
|---|---|
| City | Burlington |
| State | Vermont (VT) |
| Post Code | 54011601 |
| Phone Number | 8028646309 |
| Fax Number | 8028604324 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 890000850 |
|
Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 890000850 | VT | STATE LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Suzanne Marie Potente by the Centers for Medicare & Medicaid Services (CMS)?
The Suzanne Marie Potente has been assigned the NPI (National Provider Identifier) 1235312869. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Suzanne Marie Potente is geographically located?
The Suzanne Marie Potente is physically situated at the following location: 617 Riverside Ave, Burlington, VT, 54011601.
What is Suzanne Marie Potente's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Suzanne Marie Potente is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1235312869 to Suzanne Marie Potente?
The Suzanne Marie Potente received its 1235312869 assignment from the Centers for Medicare & Medicaid Services on 2007-12-05.
When was the information related to Suzanne Marie Potente most recently updated or refreshed?
The details pertaining to the Suzanne Marie Potente, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-12-06.